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Cochlear implantation in a case of Wegener's granulomatosis

Published online by Cambridge University Press:  29 June 2007

K. A. Abou-Elhmd ,
M. R. Hawthorne  and
L. M. Flood
K. A. Abou-Elhmd
Affiliation:
Department of Otolaryngology, North Riding Infirmary, Middlesbrough, UK.
M. R. Hawthorne*
Affiliation:
Department of Otolaryngology, North Riding Infirmary, Middlesbrough, UK.
L. M. Flood
Affiliation:
Department of Otolaryngology, North Riding Infirmary, Middlesbrough, UK.
*
Address for correspondence: Mr M. Hawthorne, F.R.C.S., Consultant ENT Surgeon, North Riding Infirmary, Newport Road, Middlesbrough, Cleveland TS1 5JE. Fax: 01642-231154
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Abstract

Cochlear implantation is now a routine clinical procedure for deaf patients in many countries (Gibson, 1987). It replaces the function of damaged cochlear hair cells and, therefore, detects sound and by electrical stimulation produces an appropriate signal in the remaining cochlear nerve fibres (House and Berliner, 1991). Wegener's granulomatosis is an uncommon auto-immune disease. It has a peak incidence at the fifth decade with slight male predominance. Nasal problems are the predominant presentation with otological manifestations presenting rarely. We report a case of Wegener's granulomatosis presenting with total hearing loss and after right cochlear implantation a free field threshold of 40 dB and 20 per cent Bamford-Kowal-Bench (BKB) speech test.

We conclude that Wegener's granulomatosis is not an absolute contraindication for cochlear implantation.

Keywords

Wegener's granulomatosisCochlear implant
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 10 , October 1996 , pp. 958 - 961
Copyright
Copyright © JLO (1984) Limited 1996

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